Individual
AUGUSTINE J ALPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(408) 921-2683
Mailing address
95-273 WAIKALANI DR APT D706, MILILANI, HI 96789-3521
(408) 921-2683
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
763169
CA
Other
Enumeration date
02/21/2023
Last updated
03/29/2023
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